Delirium in a child in pediatric intensive care unit
Delirium is a syndrome with an acute onset that is accompanied by fluctuation and is associated with behaviors that indicate impaired consciousness and cognition. It is common and costly and is associated with severe functional decline and distress in an adult. However, its detection and diagnosis a...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Advanced Biomedical Research |
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| Online Access: | http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=25;epage=25;aulast=Zibanejad |
| _version_ | 1827783498106142720 |
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| author | Nazanin Zibanejad |
| author_facet | Nazanin Zibanejad |
| author_sort | Nazanin Zibanejad |
| collection | DOAJ |
| description | Delirium is a syndrome with an acute onset that is accompanied by fluctuation and is associated with behaviors that indicate impaired consciousness and cognition. It is common and costly and is associated with severe functional decline and distress in an adult. However, its detection and diagnosis are so challenging in children. Herein, we report a 2-year-old girl who was admitted in the pediatric intensive care unit (PICU) with pneumonia and was intubated because of respiratory failure. She needed a lot of benzodiazepine and opioid drugs to be sedated. During hospital course after extubation, she developed by agitation and restlessness and dissociation from environment. Electroencephalography was done and diffuse generalized slow wave was observed. Finally, by environmental factors' correction, benzodiazepine decreasing, and risperidone administering, she became well and discharged. Delirium should be considered as an important, underdiagnosed, and common condition in the PICU. It should be considered in altered cognition, consciousness, and circadian rhythm disturbance situation in children. |
| first_indexed | 2024-03-11T15:48:25Z |
| format | Article |
| id | doaj.art-d0b2b67b1a464a77bff7848aefc7a657 |
| institution | Directory Open Access Journal |
| issn | 2277-9175 |
| language | English |
| last_indexed | 2024-03-11T15:48:25Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Advanced Biomedical Research |
| spelling | doaj.art-d0b2b67b1a464a77bff7848aefc7a6572023-10-26T05:43:16ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752023-01-01121252510.4103/abr.abr_196_21Delirium in a child in pediatric intensive care unitNazanin ZibanejadDelirium is a syndrome with an acute onset that is accompanied by fluctuation and is associated with behaviors that indicate impaired consciousness and cognition. It is common and costly and is associated with severe functional decline and distress in an adult. However, its detection and diagnosis are so challenging in children. Herein, we report a 2-year-old girl who was admitted in the pediatric intensive care unit (PICU) with pneumonia and was intubated because of respiratory failure. She needed a lot of benzodiazepine and opioid drugs to be sedated. During hospital course after extubation, she developed by agitation and restlessness and dissociation from environment. Electroencephalography was done and diffuse generalized slow wave was observed. Finally, by environmental factors' correction, benzodiazepine decreasing, and risperidone administering, she became well and discharged. Delirium should be considered as an important, underdiagnosed, and common condition in the PICU. It should be considered in altered cognition, consciousness, and circadian rhythm disturbance situation in children.http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=25;epage=25;aulast=Zibanejadbenzodiazepinedeliriumpediatricpediatric intensive care unit |
| spellingShingle | Nazanin Zibanejad Delirium in a child in pediatric intensive care unit Advanced Biomedical Research benzodiazepine delirium pediatric pediatric intensive care unit |
| title | Delirium in a child in pediatric intensive care unit |
| title_full | Delirium in a child in pediatric intensive care unit |
| title_fullStr | Delirium in a child in pediatric intensive care unit |
| title_full_unstemmed | Delirium in a child in pediatric intensive care unit |
| title_short | Delirium in a child in pediatric intensive care unit |
| title_sort | delirium in a child in pediatric intensive care unit |
| topic | benzodiazepine delirium pediatric pediatric intensive care unit |
| url | http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=25;epage=25;aulast=Zibanejad |
| work_keys_str_mv | AT nazaninzibanejad deliriuminachildinpediatricintensivecareunit |